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Tracheal intubation through the intubating laryngeal mask in a patient with a fixed flexed neck and deviated larynx
Author(s) -
Asai T.,
Shingu K.
Publication year - 1998
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1046/j.1365-2044.1998.00641.x
Subject(s) - medicine , larynx , mascara , laryngeal masks , intubation , tracheal intubation , head and neck , laryngeal mask airway , surgery , anesthesia , airway
Insertion of the conventional laryngeal mask is more difficult or impossible when the patient's head and neck are in either the neutral or flexed position. The intubating laryngeal mask is best inserted when the patient's head is supported by a pillow, without placing the head and neck into the Magill position; therefore, insertion of this modified mask may be less difficult than the conventional mask in the patient with a flexed neck. We report a case of successful insertion of the intubating laryngeal mask and subsequent tracheal intubation through the mask using a fibre‐optic bronchoscope, in a patient with a flexed neck in whom tracheal intubation using several methods had been difficult previously.